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1891867206
RAYMOND R LARA
VISALIA, CA
NPI
1891867206
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA PT23779)
Enumeration Date
2006-11-14
Last Update Date
2012-06-15
Business Address
-- RAYMOND R LARA LPT
201 N COURT ST
VISALIA, CA 93291-4918
Phone number: 559-627-2046
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Mailing Address
-- RAYMOND R LARA LPT
201 N COURT ST
VISALIA, CA 93291-4918
Phone number: 559-627-2046
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